gaye wrote: Lyon wrote:
Denon wrote: Yes, the invasive catheter venogram.
Thanks for the response. I'm surprised. That's considered the "Gold Standard" of tests.
Curiosity and nothing more, did your wife have a hard time getting diagnosed or have neuros questioned whether she really has MS?
You need doppler too if there is a valve problem. See the attached video. At 1:30 min he says that the veins will look normal on the venogram if there is a problem with the valves. The problem will not show up on the venogram but reflux will be shown on the doppler. This happened to me.http://www.youtube.com/watch?v=B3jIY4h3 ... ure=autofb
Greetings from #2,
saying that the catheter venogram is the gold standard is totally misleading; in the above video Dr. Galeotti clearly states that the two tests are complementary
Just doing venography might miss valve leaflet problems.
Dr. Zamboni illustrate this in the following video starting at min 2.30
The top image is a normal valve and the bottom is from an MS patient using high definition ultrasound.
I had similar results; my left IJV valve leaflets showed little movement, still the venogram showed no problem and I was not treated.
This is very important, specially for doctors just starting to treat patients to avoid undertreatment.